A new tool that assesses postoperative surgical site infection (SSI) risk in spine patients shows promise for improved patient care. Research on the tool, developed by a nurse, is still ongoing, but early results suggest the tool could help clinicians develop strategies to prevent many SSIs. Postoperative SSI rates for…

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Editor's Note A report by Q2 Metrics predicts the US market for spinal implants will reach $6.4 billion by 2024, up from $5 billion this year. The largest product segments include posterior thoracolumbar pedicle screw fixation and traditional anterior cervical plating. There is also strong momentum in hospital and physician…

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Patients come first. That is the brief, yet insightful, first principle for the ambulatory surgery industry: Give patients a safe, cost-effective, convenient, and attractive place to have their elective surgery, and profits and career satisfaction will follow. Well, perhaps, but it is all too easy to become involved in regulations,…

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When Kimberley Murray, MS, RN, CNOR, administrator for the orthopedic and spine service line at St Joseph’s Hospital (SJH) in Syracuse, New York, set up a successful system for negotiating with orthopedic vendors on total hip and knee replacement surgery, she knew that spine implants would be the next mountain…

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During spinal surgery, it is sometimes necessary to implant and then remove, or explant, instrumentation in the same procedure. Explantation occurs when an implanted plate or spacer does not fit, or implanted screws are too loose or too short. Explanted instrumentation cannot be reused and must be discarded, adding to…

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Use of bone morphogenic protein (BMP) has risen sharply in the past decade, adding costs without evidence of better outcomes, according to a study in the February 2012 issue of Spine. BMP use rose rapidly, from 5.5% of lumbar fusions in 2003 to nearly a third (28.1%) of procedures in…

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A leading spine journal is casting a critical eye on industry-supported research that has led to widespread use of Medtronic's controversial bone growth product Infuse. The June 2011 issue of Spine Journal carries a strongly worded editorial about the trial designs, reporting bias, and peer review shortfalls that the authors…

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Over the 8 years from 2001 to 2009, the cost of a lumbar spinal fusion with implants rose from under $6,000 to over $14,000 per case, with a small decline of 2% between 2008 and 2009. This was the second year in a row that the implant cost per case…

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Lumbar fusion has grown rapidly, skyrocketing by more than 250% in the past 20 years. Costs have risen even faster, by more than 500% in Medicare patients alone, according to a recent study from Dartmouth. Lumbar fusion accounts for almost 50% of all back surgery performed in the US. Now…

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